Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $1,172.50 / $1,640.06	Facility		$602.70	$1,172.50	$1,640.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $524.35 / $584.62	Professional		$397.78	$524.35	$584.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $1,094.75 / $1,368.43	Professional		$723.84	$1,094.75	$1,368.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $777.74 / $1,542.91	Facility		$602.70	$777.74	$1,542.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $373.67 / $1,944.97	Professional		$361.62	$373.67	$1,944.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $723.24 / $843.78 / $1,241.56	Facility		$723.24	$843.78	$1,241.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $916.10 / $1,241.56	Professional		$723.24	$916.10	$1,241.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $1,075.82	Professional		$602.70	$602.70	$1,075.82
United Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $361.62 / $1,234.03	Professional		$361.62	$361.62	$1,234.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $602.70	Professional		$602.70	$602.70	$602.70